Individual provider Active NPI

Stephen Michael Zappala, M.D.

  • Specialist
  • Andover, MA
National Provider Identifier
1215953039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
60267 Issued in MA
Practice address
140 Haverhill St
Doctors Park I
Andover, MA 01810-1550
Phone
(978) 475-4499
Fax
(978) 749-9585
NPI assigned
Jul 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 60267 MA Primary

Addresses

Primary practice location

140 Haverhill St
Doctors Park I
Andover, MA 01810-1550

Mailing address

140 Haverhill St
Doctors Park I
Andover, MA 01810-1550
Phone (978) 475-4499

Other identifiers 1

IdentifierTypeStateIssuer
9772863MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000818 MA Practitioner - Urology 1052367448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Massachusetts Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Stiles Rd
Suite 1400
Salem, NH 03079-2958
Phone (978) 475-4499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60267MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Urology Associates P.C. Specialist CurrentSince Oct 1, 1984 Accepting new patients

Locations

140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616

140 Haverhill St
#I
Andover, MA 01810
Phone (978) 475-4499

31 Stiles Rd
Ste 1400
Salem, NH 03079
Phone (978) 475-4499

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBAAA/Endpoint/CEBAAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215953039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HAVERHILL ST",
            "address_2": "DOCTORS PARK I",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101550",
            "telephone_number": "978-475-4499",
            "fax_number": "978-749-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAVERHILL ST",
            "address_2": "DOCTORS PARK I",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101550",
            "telephone_number": "978-475-4499",
            "fax_number": "978-749-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPPALA",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "60267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9772863",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.